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Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report

INTRODUCTION: A perforation occurring during colonoscopy is an extremely rare complication that may be difficult to diagnose. It can be responsible for acute abdominal compartment syndrome, a potentially lethal complex pathological state in which an acute increase in intra-abdominal pressure may pro...

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Autores principales: Souadka, Amine, Mohsine, Raouf, Ifrine, Lahsen, Belkouchi, Abdelkader, El Malki, Hadj Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296568/
https://www.ncbi.nlm.nih.gov/pubmed/22309469
http://dx.doi.org/10.1186/1752-1947-6-51
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author Souadka, Amine
Mohsine, Raouf
Ifrine, Lahsen
Belkouchi, Abdelkader
El Malki, Hadj Omar
author_facet Souadka, Amine
Mohsine, Raouf
Ifrine, Lahsen
Belkouchi, Abdelkader
El Malki, Hadj Omar
author_sort Souadka, Amine
collection PubMed
description INTRODUCTION: A perforation occurring during colonoscopy is an extremely rare complication that may be difficult to diagnose. It can be responsible for acute abdominal compartment syndrome, a potentially lethal complex pathological state in which an acute increase in intra-abdominal pressure may provoke the failure of several organ systems. CASE PRESENTATION: We report a case of acute abdominal compartment syndrome after perforation of the bowel during a colonoscopy in a 60-year-old North African man with rectal cancer, resulting in respiratory distress, cyanosis and cardiac arrest. Our patient was treated by needle decompression after the failure of cardiopulmonary resuscitation. An emergency laparotomy with anterior resection, including the perforated sigmoid colon, was then performed followed by immediate anastomosis. Our patient remains alive and free of disease three years later. CONCLUSION: Acute abdominal compartment syndrome is a rare disease that may occasionally occur after a colonoscopic perforation. It should be kept in mind during colonoscopy, especially considering its simple salvage treatment.
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spelling pubmed-32965682012-03-08 Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report Souadka, Amine Mohsine, Raouf Ifrine, Lahsen Belkouchi, Abdelkader El Malki, Hadj Omar J Med Case Reports Case Report INTRODUCTION: A perforation occurring during colonoscopy is an extremely rare complication that may be difficult to diagnose. It can be responsible for acute abdominal compartment syndrome, a potentially lethal complex pathological state in which an acute increase in intra-abdominal pressure may provoke the failure of several organ systems. CASE PRESENTATION: We report a case of acute abdominal compartment syndrome after perforation of the bowel during a colonoscopy in a 60-year-old North African man with rectal cancer, resulting in respiratory distress, cyanosis and cardiac arrest. Our patient was treated by needle decompression after the failure of cardiopulmonary resuscitation. An emergency laparotomy with anterior resection, including the perforated sigmoid colon, was then performed followed by immediate anastomosis. Our patient remains alive and free of disease three years later. CONCLUSION: Acute abdominal compartment syndrome is a rare disease that may occasionally occur after a colonoscopic perforation. It should be kept in mind during colonoscopy, especially considering its simple salvage treatment. BioMed Central 2012-02-06 /pmc/articles/PMC3296568/ /pubmed/22309469 http://dx.doi.org/10.1186/1752-1947-6-51 Text en Copyright ©2012 Souadka et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Souadka, Amine
Mohsine, Raouf
Ifrine, Lahsen
Belkouchi, Abdelkader
El Malki, Hadj Omar
Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
title Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
title_full Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
title_fullStr Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
title_full_unstemmed Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
title_short Acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
title_sort acute abdominal compartment syndrome complicating a colonoscopic perforation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296568/
https://www.ncbi.nlm.nih.gov/pubmed/22309469
http://dx.doi.org/10.1186/1752-1947-6-51
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